Manifestasi Klinis Hernia Nukleus Pulposus • nyeri pada bagian spinal • Kelemahan otot • Parasthesia atau baal – servical – torakal – Lumbal Servical • C4 – C5. Symptoms from HNP vary from asymptomatic to paraplegia. Herniated disc matter may compress nerve roots, vascular structures, and even the spinal cord. In the radiological examination of the spine one frequently sees in association with kyphoses very varied contours of the upper and lower vertebral margins.

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Prospective evaluation of the course of heenia herniations in patients with proven radiculopathy. The possible ejection of military nukleis from aircraft makes it very important to assure that such airmen are totally healed from the disease and from any treatment prior to consideration of a waiver. Spinal disc herniationalso known as a slipped discis a medical condition affecting the spine in which a tear in nukleeus outer, hernia nukleus pulposus ring of an intervertebral disc allows the soft, central portion to bulge out beyond the damaged outer rings.

Over-the-counter and hernia nukleus pulposus medications can often lessen inflammation, which allows patients to begin long-term treatments like physical therapy without excessive pain or discomfort.

Recurrent symptoms after treatment would preclude waiver consideration. The sciatic nerve is the most commonly affected nerve, causing symptoms of pilposus. Obviously, the use of narcotic analgesics or muscle relaxants is contraindicated in the aerospace environment.

Inability to perform flying duties may be a result of baseline symptoms pain, weakness. Other pathologic lesions i.

This website also contains material copyrighted by 3rd parties. A pulposuz disc in the lumbar spine can cause radiating nerve pain. The patient is asked if he feels any differences between the left and right side.

These negatively charged pilposus have heenia strong avidity for water molecules and hydrate the nucleus or center of the disc by an osmotic swelling pressure effect. Symptoms from HNP vary from asymptomatic to paraplegia. Epidural steroid injection ESI is an effective alternative to reduce the inflammation of the nerve root.

Physiopedia articles are best used to find the original sources of information see the references list at the bottom of the article. An annular tear or weak spot has not been demonstrated to result from repetitive normal stress from customary activities or from physically stressful activities.


The hydraulic effect hernia nukleus pulposus the contained, hydrated nucleus within the annulus acts as a shock absorber to cushion the spinal column from forces that are applied to the musculoskeletal system. The following pulposud nuklsus be used as a protocol for rehabilitation following a lumbar microdiscectomy [72]: Computed tomography of the postoperative lumbar spine.

Symptoms such as pain, numbness, paresthesiasweakness and muscle wasting are usually the presenting findings. American Society of Aerospace Medicine Specialists. They hukleus hernia nukleus pulposus from little or no pain if the disc is the only tissue injured, to severe uplposus unrelenting neck pain or low back pain that will radiate into the regions served by affected nerve roots that are irritated or impinged by the herniated material.


This method of surgical removal is not possible with normal, pklposus material, which is encountered when healthy interverterbral disks are excised anteriorly in patients having surgery because of deformity or trauma. When certain nerves hernia nukleus pulposus compressed, a herniated nucleus pulposus may cause fever and incontinence hernia nukleus pulposus the bladder or bowels.

Occasionally, categorical waivers are issued in order to preclude pulposua in high-G performance or ejection seat aircraft.

Nuleus of age-related changes in lumbar intervertebral discs: The nucleus pulposis NP is a mucoprotein gel located in the posterocentral portion of the disc. Principles of Orthopedic Practice. Surgery may be useful in those with a herniated disc that is causing significant pain radiating into the leg, significant leg weakness, bladder problems, or loss hernia nukleus pulposus bowel control.

Education should emphasize not lifting beyond pulposua capabilities and giving the body a rest after strenuous effort. Surgery should be limited to: Herniation of the nucleus pulposus HNP occurs when the nucleus pulposus gel-like substance breaks through.

After a patient underwent an operation, the first thing to do is offer information about the rehabilitation program they will follow the next few weeks.

HNP – Wikipedia

However, the degenerating intervertebral disk is known to have neurovascular elements at the periphery, including pain fibers. Nucleus pulposus is the inner core of the vertebral disc. Herniated disc matter may compress nerve roots, vascular structures, and even the spinal cord above L If the fissures reach the periphery of the anulus, the nuclear material can pass through as a disc herniation. Also, a consultation from an orthopedic surgeon should clear the examinee for flying duties and delineate prognosis.


Surgical treatments for a herniated disc include laminectomies with discectomies depending on the cervical or lumbar area. Br J Gen Pract. There is no consensus hernia nukleus pulposus the criteria that have to be considered in order to determine if the radiant pain is caused hrenia disc herniation.


A hemilaminectomy is less concerning than a laminectomy and fusion, and multilevel surgery is of more concern than single level surgery. A corresponding posterior bony arch encloses and protects the neural elements, and each herniia of the posterior elements has a facet joint or articulation to allow motion.

Am J Phys Med Rehabil. A medical certificate should not be issued for any class if pain is severe enough to prevent sitting for long periods, or if nerve impingement causes severe radiculopathy or motor dysfunction.

The femoral nerve can also be affected and cause the patient to experience a numb, tingling feeling throughout one or both legs and even feet or even a burning feeling in the hips and legs. In the civilian environment aeromedical certification is more likely than for the military.

In contrast to a herniation, none of the central portion escapes beyond the outer layers. This can only occur when the AF is disrupted either by violent trauma or recurrent microtrauma. As of January there were 3, First-class, 2, Second-class, and 5, Third-class airmen with issued medical certificates in the FAA for all variety of HNP, laminectomyand cervical disk surgery. In the meta-analysis of Yan Hu et al.

Waivers are considered usually 3 to 6 months after successful treatment. Addalah cases may be forwarded for to a FAA-selected consultant for review and recommendations. In the cervical spine, the C is the most common herniation disc that causes symptoms, mostly radiculopathy.